Thinking about owning a cocker spaniel? Be in the know about this wonderful and special breed, check out this handy COCKER SPANIEL FACT SHEET!

 

 

 ADOPTION APPLICATION / CONTRACT 

Fillable Form

Please fill in the blanks then click on submit. Please note that clicking on reset will clear the form and you will have to start over! 

A printable version of this Application/Contract is available at the bottom of this page.

If you will be a first time Cocker Spaniel Owner, please read our Cocker Spaniel Fact Sheet HERE before submitting your application.

PLEASE READ THE FOLLOWING CAREFULLY:

Gulf Coast Cocker Spaniel Rescue, Inc. (“GCCSR) thanks you for seeking to adopt a rescued animal.  Our goal is to place our rescued pets in permanent, loving homes.  We understand this application/contract is lengthy, but it has been formulated in hopes of minimizing the risk of a failed adoption.  Please complete this application/contract so that we at GCCSR can assist you in finding a special, compatible companion to join your family. We do not adopt dogs on a “first come, first served” basis, but rather make every attempt to match families with the most compatible pets. Our adoption fee is $200.00 for cocker spaniels 6 months of age and older. The fee for puppies under 6 months old is $300.00, and placement is done only on a foster-to-adopt basis until sterilization is completed at one of GCCSR’s veterinarians.  After surgery, the adoption will be finalized upon receipt of the $300.00 adoption fee and co-signing of the contract by a GCCSR representative.

Because the animals in GCCSR’s adoption program are rescued, we do not know their actual ages.  The approximate age of each dog is estimated using our experience and the advice of our veterinarians. Oftentimes, different veterinarians may approximate different ages for the same pet, which may appear on their respective records.  GCCSR thus uses reasonable efforts to approximate an appropriate age, but makes no affirmative representation that the approximate age is the actual age of the pet. By signing this application, you as the adopter agree that in the unfortunate event you decide not to keep your pet for whatever reason, you will immediately contact a GCCSR representative and return the pet to GCCSR.

GCCSR has the right to either deny or approve applications without explanation. Approval should not be construed to mean the applicant can select any dog. If we feel a specific dog is not a good match, we may still decline your application to adopt that particular DOG.

 PLEASE NOTE YOU MUST FILL IN THE CAPTCHA CHARACTERS AT THE BOTTOM OF THE FORM TO COMPLETE YOUR SUBMISSION. IF YOU ENCOUNTER PROBLEMS, PLEASE EMAIL US AT gulfcoastcsr@hotmail.com

ADOPTION APPLICATION / CONTRACT

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Part I Information About You and/or Your Family:
























Part II Veterinary Reference/Release

Please provide vet contact information for any living pets, or pets who passed in the past 10 years:



Please click the “Add Additional Vet” link in the right hand corner of this section to add additional vet contacts for any current pets, or those who passed in the past 10 years.
Part III Your Pet Ownership History (Please Be As Specific As Possible In Your Answers)
Please provide information about any of your current pets, and/or any pets you have had in the past 10 years.












Please click the Add More Pets link in the right hand corner of this section to add additional pets, whether living or deceased within past 10 years.
Part IV: Information About Your Home









Part V: Information About Leaving/Housetraining/Exercising/Obedience Training for Pet













Part VI: Information About Your Experience with Animals/Your Expectations and Permission for Home Visit













Part VII: Life With A Cocker Spaniel







By printing my name below, I agree that all information provided in this application is true, complete and correct.



                     

Printable Version

Please print and mail to: 

Gulf Coast Cocker Spaniel Rescue, Inc.

P.O. Box 42170, Houston, TX 77242

or for faster processing, email to gulfcoastcsr@hotmail.com

 

 

GCCSR Adoption Application Contract.pdf GCCSR Adoption Application Contract.pdf
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Type : pdf